CARDIOLOGY CARE CLINIC, LLC; NPI #1902452774

Contact Information

CARDIOLOGY CARE CLINIC, LLC

119 HARMONY XING STE 3
EATONTON, GA 31024-9571

Phone: 706-485-4004
Fax: 706-262-2986
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation: Cardiac Facilities	261QR0404X

Indicates primary specialty

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NPI Profile & details for CARDIOLOGY CARE CLINIC, LLC

NPI Number 1902452774

LBN Legal business name CARDIOLOGY CARE CLINIC, LLC

Authorized official NICOLAS CHRONOS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/16/2019

Last updated 07/27/2020 - About 6 years ago

Identifiers

Medicaid

000840364Q

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CARDIOLOGY CARE CLINIC, LLC

Contact Information

Specialty

Rehabilitation: Cardiac Facilities

NPI Profile & details for CARDIOLOGY CARE CLINIC, LLC

Reviews for CARDIOLOGY CARE CLINIC, LLC